A 64-year-old man presents with melena and hypotension. He has cirrhosis and large varices on prior endoscopy. Initial pharmacologic therapy before en...

Question

A 64-year-old man presents with melena and hypotension. He has cirrhosis and large varices on prior endoscopy. Initial pharmacologic therapy before endoscopy should include:

Accepted Answer

Octreotide infusion and prophylactic antibiotics

Answer

High-dose IV PPI only

Answer

Desmopressin

Answer

Tranexamic acid

Answer

No medications until endoscopy

us-abem MCQ (SBA): Variceal Bleeding

A 64-year-old man presents with melena and hypotension. He has cirrhosis and large varices on prior endoscopy. Initial pharmacologic therapy before endoscopy should include: